Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan;28(1):55-61.
doi: 10.1002/jhbp.816. Epub 2020 Oct 4.

Clinical practice guidelines for biliary atresia in Japan: A secondary publication of the abbreviated version translated into English

Hisami Ando  1 , Yukihiro Inomata  2 , Tadashi Iwanaka  3 , Tatsuo Kuroda  4 , Masaki Nio  5 , Akira Matsui  6 , Masahiro Yoshida  7 ; Japanese Biliary Atresia Society  8
Collaborators, Affiliations

Clinical practice guidelines for biliary atresia in Japan: A secondary publication of the abbreviated version translated into English

Hisami Ando et al. J Hepatobiliary Pancreat Sci. 2021 Jan.

Abstract

The purpose of this study was to prepare clinical practice guidelines for biliary atresia according to the Medical Information Network Distribution Service (MINDS) Handbook for Clinical Practice Guideline Development 2014. The guideline drafting group determined 25 clinical questions (CQs) essential for daily clinical practice. These CQs were grouped into the following four major categories: diagnosis, treatment, complications, and prognosis. A systematic literature search was performed by the systematic review team, and medical evidence was extracted from articles published until July 2014 on PubMed and the Japan Medical Abstracts Society. To reach a consensus, majority voting (>70%) of the panel of the guideline drafting group was adopted according to the Delphi technique. Recommendations for 21 CQs were appropriately provided. However, for four CQs (CQ2, stool color; CQ9, steroid administration; and CQ24 and CQ25, liver transplantation), recommendations could not be determined due to a scarcity of evidence. The first clinical practice guidelines for biliary atresia were successfully created using procedures recommended by the MINDS. It is expected that these guidelines will be used worldwide, and that the standardization of biliary atresia treatment will improve treatment outcomes.

Keywords: Japan; Kasai procedure; biliary atresia; clinical practice guidelines; liver transplantation.

PubMed Disclaimer

References

REFERENCES

    1. Kasai M, Suzuki M. A new operation for non-correctable biliary atresia: hepatic portoenterostomy. Shujutsu. 1959;13:733-9.
    1. Kasai M, Sawaguchi S, Akiyama H, Saito S, Suruga K, Yura J, et al. A proposal of new classification of biliary atresia. J Jpn Soc Pediatr Surg. 1976;12:327-31.
    1. Japanese Biliary Atresia Society. Japanese Biliary Atresia Registry (JBAR). [cited 2020 Apr]. Available from: https://jbas.net/en/national-registration/
    1. Starzl TE, Marchioro TL, Von Kaulla KN, Hermann G, Brittain RS, Waddell WR. Homotransplantation of the liver in humans. Surg Gynecol Obstet. 1963;117:659-76.
    1. The Medical Information Network Distribution Service Handbook for Clinical Practice Guideline Development 2014. [cited 2014 Jul]. Available from: https://minds.jcqhc.or.jp/docs/minds/guideline/pdf/MindsHB2014.pdf

LinkOut - more resources